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Clinical findings in Japanese children with obstructive sleep apnea syndrome: focus on dental findings

S Kawashima1, N Niikuni, C H Lo

  • 1Department of Pediatric Dentistry, Nihon University School of Dentistry, Tokyo, Japan.

Journal of Oral Science
|February 29, 2000
PubMed

Insights

Children with obstructive sleep apnea syndrome (OSA) frequently exhibit oral breathing and dental abnormalities. Snoring is a universal symptom, while hyponasal speech is also common in affected children.

Area of Science:

  • Pediatric Pulmonology
  • Pediatric Dentistry
  • Sleep Medicine

Background:

  • Obstructive sleep apnea syndrome (OSA) affects children, with potential impacts on oral health and development.
  • Clinical manifestations in children with OSA require thorough evaluation, including dental and oral cavity assessments.

Purpose of the Study:

  • To evaluate clinical, dental, and oral cavity findings in children diagnosed with obstructive sleep apnea syndrome (OSA).

Main Methods:

  • A cohort of 27 children diagnosed with OSA (apnea index ≥ 5) was studied.
  • Clinical histories were obtained, and oral examinations were performed, including dental age and grading assessments.
  • Sleep patterns and daytime symptoms like speech were also recorded.

Main Results:

  • Snoring was present in 100% of OSA children; hyponasal speech in 74%.
  • Oral breathing was observed in 89% of subjects.
  • Dental findings included predominantly Grade II malocclusion (63%) and Hellman's dental age IIA.

Conclusions:

  • Children with OSA frequently present with oral breathing, dental issues, and specific sleep-related symptoms.
  • Comprehensive pediatric care for OSA should integrate dental and oral cavity evaluations.

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